Urticaria - Urtikaria
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References
Acute and Chronic Urticaria: Evaluation and Treatment 28671445Urtikaria, asring ditandai dening wheal gatel lan kadang dadi luwih gedhe saka lapisan kulit sing luwih jero, biasane diatasi kanthi ngindhari pemicu sing dikenal. Pengobatan utama kalebu antihistamin H1 generasi kaping pindho, sing bisa ditingkatake dosisé yen perlu. Kajaba iku, obat liya kayata antihistamin H1 generasi pisanan, antihistamin H2, antagonis reseptor leukotriene, antihistamin kuat, lan kortikosteroid jangka pendek bisa digunakake bebarengan. Kanggo kasus sing kronis, rujukan menyang spesialis kanggo terapi alternatif kaya omalizumab utawa cyclosporine bisa dipertimbangkan.
Urticaria, often characterized by itchy wheals and sometimes swelling of the deeper skin layers, is typically managed by avoiding triggers, if known. The primary treatment involves second-generation H1 antihistamines, which can be adjusted to higher doses if needed. Additionally, other medications like first-generation H1 antihistamines, H2 antihistamines, leukotriene receptor antagonists, potent antihistamines, and short courses of corticosteroids may be used alongside. For persistent cases, referral to specialists for alternative therapies like omalizumab or cyclosporine may be considered.
Urticaria and Angioedema: an Update on Classification and Pathogenesis 28748365
Chronic Urticaria 32310370 NIH
Second-generation H1-antihistamines (e.g., cetirizine, loratadine, fexofenadine), Omalizumab, Ciclosporin, and short courses only of systemic corticosteroids
Angioedema 30860724 NIH
Angioedema yaiku pembengkakan sing ora metu saka jugangan nalika ditekan, kedadeyan ing lapisan ing kulit utawa membran mukus. Biasane mengaruhi wilayah kaya rai, lambe, gulu, lan perangan awak, uga tutuk, tenggorokan, lan usus. Dadi mbebayani yen kena tenggorokan, bisa nyebabake kahanan sing ngancam nyawa.
Angioedema is non-pitting edema that involves subcutaneous and/or submucosal layers of tissue that affects the face, lips, neck, and extremities, oral cavity, larynx, and/or gut. It becomes life-threatening when it involves the larynx.
Pencegahan yaiku kanthi nyingkiri pemicu kondisi iki. Perawatan biasane nganggo antihistamin kayata diphenhydramine lan ranitidine. Ing kasus sing abot, kortikosteroid utawa inhibitor leukotrien uga bisa dipigunakaké. Njaga suhu lingkungan sing adhem uga migunani kanggo sementara. Kanggo kasus sing tahan luwih saka enem minggu, imunosupresan kayata cyclosporin bisa dipertimbangaké.
Penyakit iki umum, kira‑kira 20 % populasi kena pengaruh. Kasus urtikaria akut muncul kanthi proporsi sing padha ing pria lan wanita, dene urtikaria kronis luwih umum ing wanita. Urtikaria akut luwih sering ditemui pada anak‑anak, sementara urtikaria kronis luwih umum pada orang dewasa. Urtikaria kronis bisa berlangsung luwih saka 2 sasi, asring nganti pirang‑pirang taun, lan banjur menghilang.
○ Pengobatan – Obat OTC
Urtikaria akut biasane ilang sajrone seminggu, nanging urtikaria kronis bisa bertahan pirang‑pirang taun, meskipun gejalanya kadang mereda. Pada urtikaria kronis, dianjurake supaya mengonsumsi antihistamin secara rutin lan menunggu hingga gejala mereda dengan sendirinya.
Antihistamin OTC. Cetirizine utawa levocetirizine lebih efektif daripada fexofenadine, tetapi dapat menyebabkan rasa mengantuk.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]
Kanggo urtikaria kronis, antihistamin non‑sedatif kayata fexofenadine luwih disenengi.
#Fexofenadine [Allegra]
#Diphenhydramine [Benadryl]
#Loratadine [Claritin]